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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 310321746
Report Date: 01/28/2020
Date Signed: 01/28/2020 09:09:47 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:REID, CANDICEFACILITY NUMBER:
310321746
ADMINISTRATOR:REID, CANDICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 532-3811
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:14CENSUS: 11DATE:
01/28/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Candice ReidTIME COMPLETED:
09:15 AM
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Licensing Program Analyst (LPA) Jeremey McClain met with Licensee Candice Reid to conduct a Plan of Correction inspection. The purpose of today’s inspection was to clear the Type A citation that was issued on 01/23/2020.

Upon arriving, LPA observed 11 children, which included two infants and nine preschool age children. Licensee's assisant, Sarah was present during the inspection. During today’s inspection, LPA observed children’s files to verify birthdates. LPA also observed signed LIC 9224s.

As of today, the Type A Citation is considered cleared and the licensee is now in compliance with the proper capacity. A POC letter was provided.

This report was reviewed with the Director and a Notice of Site Visit was provided and should remain posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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